MR. KENDALL R. GOETZ (NPI# 1588715064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588715064 |
Entity Type | Individual |
Full Name | MR. KENDALL R. GOETZ |
Credential | R.PH. |
Practice Address |
815 1st Ave Se Aberdeen SD 57401-4602 |
Mailing Address |
1316 18th Ave Ne Aberdeen SD 57401-1537 |
Practice Telephone | 6052251945 |
Practice Fax Number | 6057250037 |
Mailing Telephone | 6052290872 |
Enumeration Date | 2007-01-13 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 4806 | SD | Pharmacy Service Providers |
Street Address |
815 1ST AVE SE |
City | ABERDEEN |
State | SD |
Zip Code | 57401-4602 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275515736 | Marie Quaschnick | Nurse Practitioner | 815 1st Ave Se, Aberdeen, SD 57401-4602 | 2005-11-18 |
1982030177 | Avera St. Luke's | Physician Assistant | 815 1st Ave Se, Aberdeen, SD 57401-4602 | 2013-09-19 |
1083051817 | Avera St. Luke's | Anesthesiology | 815 1st Ave Se, Aberdeen, SD 57401 | 2013-06-03 |
1386991412 | Olawunmi Aabiodun Lawal | Internal Medicine | 815 1st Ave Se, Suite 104, Aberdeen, SD 57401-4602 | 2012-08-08 |
1871869172 | Blake Anthony Heinz | Internal Medicine | 815 1st Ave Se, Suite 104, Aberdeen, SD 57401-4602 | 2012-03-30 |
1184893349 | Arlin Monroe Myrmoe | Internal Medicine | 815 1st Ave Se, Suite E104, Aberdeen, SD 57401-4602 | 2008-02-21 |
1528255775 | Avera St. Luke's | Orthopaedic Surgery | 815 1st Ave Se, Aberdeen, SD 57401-4602 | 2007-10-02 |
1770603888 | Shawna M. Schmidt | Anesthesiology | 815 1st Ave Se, Aberdeen, SD 57401-4602 | 2007-03-30 |
1407945918 | Lisa Beth Wurnig-johnson | Physician Assistant | 815 1st Ave Se, Aberdeen, SD 57401-4602 | 2006-10-12 |
1588752463 | Jennifer Joyce Daggett | Pharmacist | 815 1st Ave Se, #202, Aberdeen, SD 57401-4602 | 2006-10-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679002950 | Brenda Lee Pence | Registered Nurse | 305 S. State St., Aberdeen, SD 57401 | 2017-06-08 |
1104366475 | Jordan Shangreaux | Specialist/Technologist | 2200 S Roosevelt St, Aberdeen, SD 57401 | 2017-03-06 |
1205387545 | Midwest Medical Transport Company, LLC-aberdeen, Sd | Ambulance | 2919 Industrial Avenue, Aberdeen, SD 57401 | 2016-10-21 |
1356752471 | Cameron Eichler Enterprises | Hearing Aid Equipment | 110 6th Ave Se Ste 106, Aberdeen, SD 57401 | 2014-05-12 |
1184059412 | Richard Allen Ward IIi | Hearing Instrument Specialist | 1315 6th Avenue Se, Suite 4, Aberdeen, SD 57401 | 2013-09-05 |
1427395540 | Matthew William Svensen | Physical Therapist | 1109 S Jay St, Aberdeen, SD 57401 | 2013-01-09 |
1750655940 | Robert Ashly Froke | Audiologist | 121 4th Ave Sw-suite 1, Natural Hearing Center, Aberdeen, SD 57401 | 2012-03-06 |
1457504862 | Rodney S Johnson | Counselor | 14 S Main St Ste 1e, Aberdeen, SD 57401 | 2008-10-29 |
1518115005 | Dakota Chiropractic of Aberdeen, PC | Chiropractor | 520 Moccasin Drive, Aberdeen, SD 57401 | 2008-09-09 |
1558554626 | Tiffany Zimmerman Hoeft | Speech-Language Pathologist | 39515 Pintail Ave, Aberdeen, SD 57401 | 2007-08-22 |
Find all providers in zip 57401 |
Taxonomy Code | 183500000X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215537238 | Brant Haase | Pharmacist | 406 N 2nd St, Aberdeen, SD 57401-2707 | 2020-10-28 |
1154960821 | Sidney Steven Odom | Pharmacist | 105 Courtyard Cir, Aberdeen, NC 28315-3850 | 2019-12-30 |
1215579776 | Isabel Liberato | Pharmacist | 1129 Route 34, Aberdeen, NJ 07747-2166 | 2019-10-16 |
1265995823 | Quentin Clifford Bury | Pharmacist | 1409 6th Ave Se Ste 2, Aberdeen, SD 57401-4950 | 2019-04-10 |
1609309616 | Wende Benson | Pharmacist | 508 N Broadway St, Aberdeen, WA 98520-3934 | 2017-04-06 |
1407229149 | Randall T Higgins | Pharmacist | 17 Waverly Pl, Aberdeen, NJ 07747-1817 | 2015-11-03 |
1104245620 | Dwight D. Wallace | Pharmacist | 44 S. Main St, Aberdeen, ID 83210 | 2014-04-11 |
1437583861 | Sevag Dishakjian | Pharmacist | 11109 Us 15-501, Unit 1804, Aberdeen, NC 28315-2306 | 2013-08-21 |
1952733164 | Marija Mikulskis Cavana | Pharmacist | 11109 Us Highway 15 501, Unit 1804, Aberdeen, NC 28315-2366 | 2013-07-30 |
1255614806 | Osama Afifi | Pharmacist | 24 Courtland Ln, Aberdeen, NJ 07747-2212 | 2011-09-21 |
Find all providers in ABERDEEN |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.